Organization
NOBLE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE COULTER MORRELL LSCSW (OWNER)
(620) 249-5443
Entity
Organization
Contact information
Practice address
1322 S BROADWAY ST, PITTSBURG, KS 66762-5836
(620) 249-5443
Mailing address
1007 S OLIVE ST, PITTSBURG, KS 66762-5622
(620) 249-5443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0759
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104036110
NPI
—
01
—
12368901
CAQH
—
01
—
1447684931
NPI
KS
05
—
1447684931
—
KS
05
—
200442400D
—
KS
Enumeration date
06/09/2017
Last updated
08/14/2023
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